Claims Analyst Team

The Claims Analyst team works in close partnership with SCOR’s Operations, Claims and Technical Accounting Teams in line with SCOR’s claims handling philosophy.

Senior Claims Analyst Role

The Senior Claims Analyst will have assigned accounts/Lines of Business and is primarily responsible for independently reviewing, validating, adjusting (within authority) or routing (re)insurance claims to ensure they are handled accurately, fairly, and in line with policy terms, authority limits, and regulatory expectations in accordance to SCOR’s Claims Handling Philosophy.

This client-focused position requires a strong level of proficiency in Marine, including Hull & Machinery and Cargo, with previous claims handling experience required. Individuals will be responsible for autonomously managing a caseload of low-to-midvalue & complexity claims, deliver excellent customer service to stakeholders and clients and be able to recognize claims issues which require escalation to Claims Experts or Management.

In addition to this core function, the Senior Claims Analyst is a senior member of staff providing the first line of triage/support for the Claims Analyst Team, support Claims Experts in monitoring and performance of the claims portfolio under managing, provide system & process subject matter expertise (in due course to advance SCOR’s transformation journey and regularly communicate with internal or external stakeholders (e.g., claims experts, management, accounting, underwriters, brokers etc.).

RESPONSIBILITIES

Claims Assessment & Decision-Making

• Perform an FNOL (First Notice of Loss) review on incoming claims on assigned accounts/Lines of Business as part of a continual triage of the loss.
• To assign the claim post-triage:
  • To refer higher-complexity losses to a more senior Claims Expert for assessment/adjustment;
  • To retain low-to-mid complexity loss for adjustment and ongoing management, or
  • To delegate claims that are low complexity and straightforward in nature that are suitable for “processing” to the Technical Accounting (TA&A) team.
• Review contracts/policies and backup documentation to confirm coverage under the policy.
• Assess and determine low-to-mid complexity, risk, and/or value claims in line with policy terms, procedures, and authority limits, applying sound technical judgement to reach fair, proportionate, and defensible outcomes.
• Identify claims that are complex, unusual, or high-risk, recognizing and referring all claims which require further review by others within the claim department, continually triaging to refer when required.
• Handling, closing and/or following up on all claims assigned, both manually and electronically.
• Transacting on assigned claims within their authority including setting reserves and authorizing payments within authority.
• Produce clear, accurate case notes explaining decisions and rationale ensuring all claim files are complete, well-structured and audit-ready
• Collaborating and assisting in the account management of assigned accounts/lines of business, often with other internal department representatives
• Act as an escalation point for more complex cases from other analysts or team leaders
• Anticipating client needs and expectations and delivering superior customer service
• Working effectively with others within the claim department, particularly with other claim experts and analysts, to ensure prompt turnaround and response to clients, brokers and outside vendors
• Ability to effectively communicate claim issues with internal or external stakeholders including underwriters, brokers and clients and represent SCOR’s interests
• Provide technical advice and direction to developing Claims Analysts